Protective device for an injection needle

ABSTRACT

Protective devices for injection needles or infusion needles that include a needle holder at a proximal end of the needle, on whose shaft a protective element for the needle tip can be positioned and moved, are herein disclosed. The protective element is configured to block the needle tip following an injection to prevent accidental contact therewith. The protective element may be positioned on the shaft in a ready to use position inside a grip part or middle retaining portion, which is also used to activate the protective element over the needle following the injection.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a divisional application of Ser. No. 10/856,315,filed May 27, 2004, now U.S. Pat. No. 7,125,397 which is acontinuation-in-part of an application entitled PROTECTIVE DEVICE FOR ANINJECTION NEEDLE, application Ser. No. 10/468,923, filed Feb. 2, 2004,now U.S. Pat. No. 7,214,211 which claims priority to internationalapplication No. PCT/EP02/02042, entitled PROTECTIVE DEVICE FOR ANINJECTION NEEDLE, filed Feb. 26, 2002, which claims the benefit ofGerman application No. 201 03 363, filed Feb. 26, 2001, and also acontinuation-in-part of an application entitled SPRING CLIP SAFETY IVCATHETER, application Ser. No. 10/445,166, filed May 23, 2003, now U.S.Pat. No. 7,264,613 which is a continuation of application Ser. No.09/638,641, filed Aug. 14, 2000, now U.S. Pat. No. 6,616,630, which is acontinuation-in-part of application Ser. No. 09/183,697, filed Oct. 30,1998, now U.S. Pat. No. 6,287,278, which is a continuation-in-part ofapplication Ser. No. 09/097,170, filed Jun. 12, 1998, now U.S. Pat. No.6,117,108, which is a continuation-in-part of application Ser. No.08/915,148, filed Aug. 20, 1997, now abandoned, the contents of whichare expressly incorporated herein by reference.

BACKGROUND

Protective devices for covering needle tips are well known, for examplefrom U.S. Pat. No. 4,929,241, wherein a relatively small protectiveelement is arranged on a needle and can be moved by a spring from aretracted or ready position to a protected position on the needle tip.The elastic arms of the protective element engage over the needle tipwhile an engagement device on the protective element holds the latter onthe needle shaft. Because of the relatively small size of the protectiveelement, it is difficult to move it by hand on the needle. In addition,the securing spring can only be released when the needle tip lies freeso that a risk of injury cannot be ruled out.

Accordingly, there is a need for a needle assembly that has an easy touse grip part for moving the protective element, which is positionedbetween the protective element and the needle holder or hub.

SUMMARY

The present invention may be implemented by providing a needle assemblycomprising a needle holder comprising a body comprising a channelextending at least a portion of the body, an interior cavity incommunication with the channel; a needle holding sleeve, and a Huberneedle comprising a needle shaft attached to the needle holding sleeve;said Huber needle comprising a bent section along a portion of theneedle shaft; a middle retaining portion removably received in theinterior cavity of the needle holder, the middle retaining portioncomprising a flange, a tubular projection, and a bore extending throughthe tubular projection and the flange having the Huber needle extendingthrough the bore; said bore comprising a first section comprising afirst dimension and a second section comprising a second dimension; anda protective element coaxially disposed with the needle shaft andpositioned inside the bore; said protective element comprising a distalportion comprising a third dimension when positioned inside the bore anda fourth dimension when separated from the bore. In one exemplaryembodiment, the first dimension is larger than the third dimension,which is larger than the second dimension, which is larger than thefourth dimension.

In another aspect of the present invention, there is provided a needleassembly comprising a needle holder comprising a body comprising achannel extending at least a portion of the body, an interior cavity incommunication with the channel, a needle holding sleeve, and a Huberneedle comprising a needle shaft attached to the needle holding sleeve;said Huber needle comprising a bent section along a portion of theneedle shaft and a needle tip; a middle retaining portion removablyreceived in the interior cavity of the needle holder comprising aflange, a tubular projection, a bore extending through the tubularprojection and the flange, and the Huber needle extending through thebore; said bore comprising a wall surface comprising a wall engagementstructure; and a protective element coaxially disposed with the needleshaft and positioned inside the bore; said protective element engagingthe wall engagement structure of the bore when the Huber needle is movedrelative to the middle retaining portion. In one exemplary embodiment,the protective element is disengaged from the wall engagement structureof the bore when the needle tip moves from a position distal of a fingerportion of the protective element to a position proximal of the fingerportion of the protective element.

In yet another aspect of the present invention, there is provided aneedle assembly comprising a needle hub comprising a base section, anose section, an exterior surface, and a interior surface defining aninterior cavity; a needle comprising a needle shaft, a distal endcomprising a needle tip, and a proximal end attached to the nose sectionof the needle hub; a middle retaining portion telescopically disposedover at least a portion of the nose section of the needle hub comprisinga body structure comprising an exterior surface and an interior surfacedefining a bore; said bore comprising a wall surface comprising a wallengagement structure; and a protective element coaxially disposed withthe needle shaft and positioned at least partially inside the bore ofthe middle retaining portion; said protective element engaging the wallengagement structure of the bore when the needle is moved relative tothe middle retaining portion. In one exemplary embodiment, theprotective element is disengaged from the wall engagement structure ofthe bore when the needle tip moves from a position distal of a fingerportion of the protective element to a position proximal of the fingerportion of the protective element.

In still yet another aspect of the present invention, there is provideda needle assembly comprising a needle hub comprising a base section, anose section, an exterior surface, and a interior surface defining aninterior cavity; a needle comprising a needle shaft, a distal endcomprising a needle tip, and a proximal end attached to the nose sectionof the needle hub; a middle retaining portion telescopically disposedover at least a portion of the nose section of the needle hub comprisinga body structure comprising an exterior surface and an interior surfacedefining a bore; said bore comprising a first section comprising a firstdimension and a second section comprising a second dimension; and aprotective element coaxially disposed with the needle shaft andpositioned at least partially inside the bore of the middle retainingportion; said protective element comprising a distal portion comprisinga third dimension when positioned inside the bore and a fourth dimensionwhen separated from the bore. In one exemplary embodiment, the firstdimension is larger than the third dimension, which is larger than thesecond dimension, which is larger than the fourth dimension.

BRIEF DESCRIPTION OF THE DRAWINGS

These and other features and advantages of the present invention willbecome appreciated as the same become better understood with referenceto the specification, claims and appended drawings wherein:

FIG. 1 shows a protective device in longitudinal section;

FIG. 2 shows a side view of the embodiment according to FIG. 1;

FIG. 3 shows a view of the device according to FIGS. 1 and 2 with theprotective element moved to the protection position;

FIG. 4 shows a modified device according to FIGS. 1 and 2 with a needlecap;

FIG. 5 shows another embodiment of a grip part in conjunction with asyringe;

FIG. 6 shows a modified embodiment of the device according to FIG. 5;

FIG. 7 shows an embodiment in conjunction with a needle holder providedwith wings;

FIG. 8 shows a cross section through the embodiment according to FIG. 7;

FIG. 9 shows an end view of FIG. 7;

FIG. 10 shows a plan view of an embodiment according to FIG. 7 withneedle cap;

FIG. 11 shows a view of the needle cap according to FIG. 10;

FIG. 12 shows a plan view of an embodiment according to FIG. 7 with amodified needle cap;

FIG. 13 shows a side view of the needle cap according to FIG. 12;

FIG. 14 shows a longitudinal section through a needle cap;

FIG. 15 shows a cross section through another embodiment with a curvedneedle;

FIG. 16 shows another needle cap in the embodiment according to FIG. 15;

FIG. 17 shows an embodiment with a deformable grip part in the startingposition;

FIG. 18 shows the grip part from FIG. 17 in the extended position;

FIG. 19 shows a further embodiment of a deformable grip part in thestarting position;

FIG. 20 shows the grip part from FIG. 19 in the deployed position;

FIG. 21 is a semi-schematic side view of another alternative needleassembly provided in accordance with aspects of the present invention;

FIG. 22 is a semi-schematic cross-sectional side view of the needleassembly of FIG. 21 from a different angle without the tubing;

FIG. 23 is a semi-schematic exemplary partial side view of the needleand the protective element of FIG. 21 shown separated from the needleholder and middle retaining portion for clarity;

FIG. 24 is a semi-schematic perspective view of the needle holder ofFIG. 21 without the needle or the hose for clarity;

FIG. 25 is a semi-schematic cross-sectional side view of the needleholder of FIG. 24;

FIG. 26 is a semi-schematic bottom view of the needle holder of FIG. 24;

FIG. 27 is a semi-schematic cross-sectional side view of the middleretaining portion of FIG. 22;

FIG. 28 is a semi-schematic partial cross-sectional side view of theprotective element activated over the needle and separated form themiddle retaining portion;

FIG. 29 is a semi-schematic exploded side view of yet anotheralternative needle assembly provided in accordance with aspects of thepresent invention;

FIG. 30 is a semi-schematic side view of the needle assembly of FIG. 29in an assembled state; and

FIG. 31 is a semi-schematic cross-sectional side view of the needleassembly of FIG. 30.

DETAILED DESCRIPTION OF THE INVENTION

The detailed description set forth below in connection with the appendeddrawings is intended as a description of the presently preferredembodiments of protective devices for injection needles provided inaccordance with practice of the present invention and is not intended torepresent the only forms in which the present invention may beconstructed or utilized. The description sets forth the features and thesteps for constructing and using the protective devices of the presentinvention in connection with the illustrated embodiments. It is to beunderstood, however, that the same or equivalent functions andstructures may be accomplished by different embodiments that are alsointended to be encompassed within the spirit and scope of the invention.Also, as denoted elsewhere herein, like element numbers are intended toindicate like or similar elements or features.

FIG. 1 shows a needle holder 1 in which a needle 2 is secured. Arrangedon the shaft of the needle 2 there is a protective element 3 in the formof a spring clip with intersecting arms. Reference number 4 indicates asleeve which can be moved with the protective element 3 along the needleshaft. In the illustrative embodiment shown, the tip 5 of the needle isdesigned with a curve in the manner of an epidural needle or a Huberneedle, so that the sleeve 4, which has a smaller diameter than thecurve on the needle tip, and, together with it, the protective element 3and cannot be moved past the needle tip.

Arranged between needle holder 1 and protective element 3 there is agrip part 6 which, at the proximal end, has a hollow cylindrical portion7 on which a radially protruding shield 8 is formed. On the front faceof the shield 8 there is a cylindrical portion 9 whose distal end ishollow. In the standby position according to FIG. 1, the protectiveelement 3 is arranged in the cavity 10 and, by displacement of the grippart 6, can be moved forward to the needle tip 5, while the needleholder 1 is held with the other hand. The angled ends of theintersecting arms of the protective element 3 engage over the needle tip5, so that injury to operating personnel by the needle tip is prevented.

At the distal end, the needle holder 1 has radially protruding ribs 11on which the hollow cylindrical portion 7 of the grip part 6 is guided.Between the cylindrical portion 9 of smaller external diameter and thehollow cylindrical portion 7 of greater external diameter, slits 12 areformed in the grip part 6, through which slits 12 the front ends of theribs 11 of the needle holder 1 protrude radially, as FIG. 2 shows.

The cylindrical portion 9 of the grip part 6 provided with the cavity 10has a solid cylindrical portion 14 between the slits 12 and the cavity10, in the central bore of which portion 14 the needle 2 is guided.Between the slits 12 of the grip part 6, the cylindrical portion 9 isconnected integrally to the shield 8 and the hollow cylindrical portion7 via bridges 15.

These ribs 11 protruding over the outer circumference of the cylindricalportion 9 of the grip part 6 serve for attachment of a needle cap 13,which is shown in FIG. 4. This needle cap 13 is used for storing andhandling the device. It can be removed from the needle holder 1immediately before use of the injection needle, in order to expose theneedle, without the rip part 6 and the protective element 3 being moved,because the needle cap 13 is held by the ribs 11 at a radial distancefrom the portion 9 of the grip part 6.

Because of the smaller diameter at the portion 14 compared to thegreater diameter at the ribs 11, the needle cap 13, which consists of atube section of constant diameter, cannot be positioned incorrectly onthe portion 14, but only attached to the ribs 11. This ensures that theneedle cap 13 is not inadvertently engaged with a portion of the grippart 6. The needle cap 13 can be produced inexpensively by extrusion ofa tube, a section of such a tube forming the needle cap 13.

After removal of the needle cap 13, an injection can be carried out inthe standby position according to FIGS. 1 and 2. As the needle is pulledback with one hand on the needle holder 1, the grip part 6 on theportion 7 is held with the other hand, so that the protective element 3is moved into the protection position on the needle tip as a result ofthe relative movement between grip part 6 and needle 2. This deployedposition of the grip part 6 is illustrated in FIG. 3.

The protective element 3 is arranged loosely in the cavity 10 of thegrip part 6, so that the grip part 6 can be easily drawn back from theposition in FIG. 3, while the protective element remains in theprotection position on the needle tip. The cavity 10 in the cylindricalportion 9 protects the protective element 3 after removal of the needlecap 13.

FIG. 4 shows a preferred embodiment of the grip part 6, the hollowcylindrical portion at the distal end of the grip part 6 being omitted,so that the solid cylindrical portion 14 forms the distal end of thegrip part 6. After removal of the needle cap 13 from the fibs 11, theprotective element 3 lies free in FIG. 4.

In the embodiment according to FIGS. 1 and 2, the hollow cylindricalportion 7 on the grip part 6 is used to protect the fingers of the handholding the grip part from touching the needle shaft when the needle isdrawn back.

In another configuration of the needle holder 1, this hollow cylindricalportion 7 can be made larger behind the shield 8.

The grip part 6, like the needle holder 1 too, is expediently made ofplastic.

FIG. 5 shows a modified embodiment of a grip part 6 in combination witha syringe 16 on which an injection needle 2 is secured via a needleholder 17 designed as cannula attachment. In this embodiment, a bead 18is formed on the outer circumference of the needle, before the needletip, on which bead 18 the rear wall of the protective element 3 comes tobear in the protection position. Instead of a bead 18, diametricallyopposite knob-like projections can be formed by pinching the needle.

The grip part 6 has a cylindrical portion 19 which, in the startingposition according to FIG. 5, is guided on the needle holder 17. In theillustrative embodiment shown, two brackets 20 extend from thiscylindrical portion 19 in the proximal direction, on diametricallyopposite sides, at a distance from the syringe circumference. The endsof these brackets 20 are integrally formed on an annular body 21 fromwhich elastic fingers 22 extend radially inward. The free ends of theseelastic fingers 22 lie on the outer circumference of the syringe 16.

Because of the elastic fingers 22 between the grip part 6 and the outercircumference of the syringe 16, the grip part 6 can be used fordifferent sizes of syringe diameter, e.g. syringes with a volume of 1 mlto 10 ml can be fitted into the same grip part. By this means, there isa wide choice of syringes which can be used with the same needle.

In the embodiment according to FIG. 5 too, radially protruding ribs 11are formed at the front end of the needle holder formed as cannulaattachment and these serve as a seat for a needle cap. The protectiveelement 3, whose rear wall protrudes beyond the cross section of theribs 11, is moved forward into the protection position through the innercircumference of the cylindrical portion 19.

FIG. 6 shows an embodiment of the grip part 6 in which, formed on thecylindrical portion 19, there is a further cylindrical portion 9 inwhose cavity 10 the protective element 3 is received. As in theembodiment according to FIGS. 1 and 2, axially extending slits areformed between cylindrical portion 19 and portion 9, through which slitsthe ribs 11 formed on the needle holder or cannula attachment 17protrude in order to receive the needle cap 13.

FIG. 6 a shows, in a perspective view, a needle cap 50 which is formedby injection-molding and whose distal end can be closed, while theproximal end has, on the inner circumference, flutes or grooves 51 whichcorrespond to the number of ribs 11 and which engage with the ribs 11when the needle cap is placed on the needle holder 17, so that, byturning the attached needle cap 50, the needle holder 17 can also beturned. A threaded engagement is usually provided between needle holder17 and syringe 16, so that, by turning the needle cap 507 the needleholder 17 can be screwed onto the syringe 16.

It is customary to draw liquid into the syringe by means of a needle ofrelatively large diameter and then to replace this needle with a needlehaving a relatively small diameter, in order to perform an infusion onthe patient. In the embodiment according to FIGS. 5 and 6, the needlecan be changed without difficulty.

The described design permits actuation with one hand when the syringecontent has been injected, the syringe 16 being held with two fingersand the needle being pulled from the patient's skin, while at the sametime a finger of the hand bears on the annular body 21 lying at theproximal end.

FIG. 7 shows a plan view of a needle holder 1 which is provided withlaterally protruding wings 23 and to which a connection tube 24 isattached. Arranged between the protective element 3 arranged on theneedle shaft and the needle holder 1 there is a grip part 6 with ahub-shaped portion 26 which, because of the flat injection angle (FIG.8), expediently has a surface part 25 for bearing on the patient's skinwhich, on the bearing side, can be provided for example with an adhesivelayer for better retention on the skin. A foam material 25′ ispreferably provided on the bearing side. The hub portion 26 of the grippart 6 protruding from the front end of the surface part 25 at leastpartially covers the protective element 3. The surface part 25 or thesoft bearing part 25′ also serves as spacer for keeping the protectiveelement 3 from the patient's skin. In the illustrative embodimentaccording to FIG. 8, the soft bearing part 25′ extends across thesurface part 25 under the hub portion 26, so that the protective element3 does not lie on the patient's skin.

The needle holder 1 provided with wings 23 is used for venous infusions,for which a thin needle is normally used. The wings 23 are relativelylarge and flexible. They are pressed together if the needle isintroduced into the skin at a very flat angle. A protective paper (notshown) applied on the adhesive layer on the bearing surface should notbe peeled off until the needle is introduced into the vein. After theneedle has been introduced into the vein, the wings 23 are placed flatagainst the patient's skin and secured with an adhesive tape. The grippart 6 too can be secured by means of an adhesive tape, the hub-shapedportion 26 preventing contact between protective element 3 and adhesivetape. When the needle is drawn back after removal of the adhesive tapefrom the needle holder, the grip part 6 initially remains in itsposition with the protective element 3. After the drawn-back needle tipis safely covered by the protective element 3, with the projections 18on the needle fixing the protective element 3 on the needle tip, thegrip part 6 can also be removed from the patient's skin.

FIGS. 7 and 8 show the device in the standby position for insertion ofthe needle. If the bearing surface 25 provided with an adhesive layer isused on the grip part, this is a passive system.

FIG. 9 shows a view of the grip part 6 from the right in FIG. 7. Thewings 23 serve as bearing surface for the needle holder 1 since theinfusion needle must remain for a certain time in the inserted position.

FIGS. 10 and 11 show, in a construction according to FIGS. 7 through 9,a needle cap 13 provided with two spaced-apart retaining brackets 27which are hooked via a curved free end 27′ on the wings 23, as FIG. 10shows. In this embodiment, the proximal end of the needle cap 13expediently bears on the front end of the protective element 3, as FIG.10 shows, so that the protective element 3 is held in its standbyposition.

It is also possible, however, to provide a hub-shaped attachment at theproximal end of the needle cap 13, which attachment bears on the frontface of the hub-shaped portion 26.

In the embodiments described, a protective element in the form of aspring clip with intersecting arms is depicted in each case. However,another design of a protective element can also be used in conjunctionwith the grip part 6.

FIG. 12 shows a further embodiment of the device according to FIGS. 7through 9. Instead of having the suspension brackets 27, the needle cap13 is in this case provided on both sides with an extension strut 36which, at the free end, has a fork-shaped portion 37 for attachment tothe wings 23 of the needle holder (FIG. 13). These two spaced-apartstruts 36 extend through correspondingly dimensioned openings 38 in thehub portion 26 of the grip part 6, so that the fork-shaped insertionportions 37 can be pulled without difficulty through these openings 38.When the needle cap 13 is taken off, the needle holder 1 is held, andthe grip part 6 is not moved.

FIG. 14 shows a longitudinal section through a needle cap 13 whoseproximal end bears on the protective element 3. The needle cap is oftubular design, and the diameter enlargement 18 on the needle 2,produced by pinching, serves as a spacer for the needle cap 13. Such aneedle cap can be produced by extrusion or injection-molding. It is alsopossible to form, on the inner circumference of the needle cap, a beador knobs, which bear on the needle shaft and guide the needlesubstantially concentrically in the needle cap. The needle cap 13 is inthis case held on the needle 2 by friction on the bulges 18.

According to a further embodiment, the needle cap, when it has beenfitted onto the needle, can be fixed on the needle by mean of heat andpressure or by shrinking.

FIG. 15 shows an embodiment in combination with a Huber needle 2 whichis held in a needle holder 1′ by means of a curved portion and isprovided for perpendicular insertion upon injection. Reference number 30designates a bearing part which is preferably made of foam material andwhich is provided with an adhesive face for better fixing on thepatient's skin. Arranged between the bearing part 30 and the needleholder 1′ there is a shield-like grip part 6 which rests on the bearingpart via a flange-like area 31 and extends via a pot-shaped middleportion 32 into a corresponding depression in the needle holder 1′. Theprotective element 3 is arranged in this pot-shaped middle part 32.

When the needle is drawn out, the grip part 6 is held on the bearingpart 30, while the needle holder 1′ is removed. The protective element 3is moved toward the needle tip until it comes to rest on the needlebulge 18, while at the same time the two intersecting arms of theprotective element 3 engage over the needle tip and cover it. The grippart 6 can be removed from the bearing part 30 or together with thelatter. Grip part 6 and bearing part 30 can also be connected to oneanother via an adhesive layer.

The side walls of the pot-shaped middle part 32 are preferably conicalso that the grip part 6 cannot itself be removed but instead onlypressed.

FIG. 15 shows a needle cap 13′ with a tubular portion from whoseproximal end there protrude diametrically opposite wall portions 33which are inserted via partially circular slits 34 in the flange 31 ofthe grip part 6 into correspondingly partially circular grooves 35 inthe needle holder 1′. The curved wall portions 33 are guided looselythrough the curved slits 34 in the flange 31 of the grip part 6 andinserted with a press fit into the grooves 35 of the needle holder 1′.

As in the other embodiments of a needle cap 13, the needle cap 13′ inFIG. 15 can also be closed at the distal end.

FIG. 16 shows an embodiment with a Huber needle 2 according to FIG. 15,where a needle cap 13 of smaller internal diameter is pushed onto theneedle 2. The needle cap corresponds substantially to that of FIG. 14,the needle cap 13 being held on the needle by means of friction at theangled front end. This needle cap 13 in FIG. 16 can be provided withradially protruding and diametrically opposite surface portions 52through which handling is improved and the tubular needle cap 13 is mademore rigid. FIG. 16 a shows a perspective view of such a needle cap 13with diametrically opposite surface portions 52.

FIGS. 17 and 18 show an embodiment in which the grip part 6 has adeformable portion by means of which the distal end of the grip part, onwhich the protective element 3 lies, can be moved in the direction ofthe protection position on the needle tip by means of the deformableportion being deformed. In the illustrative embodiment according toFIGS. 17 and 18, two pairs of deformable brackets 40 and 40′ are formedon the grip part 6 and these can be pressed together by the fingers sothat they can be moved from the curved state in FIG. 17 to an extendedstate in FIG. 18. The two deformable pairs of brackets 40 and 40′ areconnected to one another by a sleeve portion 41. It is also possible toinsert, between the two bracket pairs 40 and 40′, an element which, whenpressed by the fingers, changes the two deformable brackets 40 and 40′to the extended position according to FIG. 17.

FIGS. 19 and 20 show a further embodiment of a deformable grip part 6,FIG. 19 illustrating the grip part in the collapsed state in the standbyposition. The needle cap 13 is provided at the proximal end with areceiving portion 42 which receives collapsed portions 45 of the grippart 6, which is arranged between needle holder 1 and the protectiveelement 3 (not shown in FIG. 19) arranged in the receiving portion 42.

FIG. 20 shows in schematic representation the grip part 6 in a partiallydeployed state after the needle cap 13 has been removed and an injectionhas been carried out. The stiff portions 45 of the grip part 6 which areconnected to one another via articulations and hinge portions 44 andwhich are partially guided on the needle 2 are moved and aligned alongthe needle, the protective element 3 being pushed forward to the needletip until it engages with the needle bulge 18 and covers the needle tip.

Compared to the embodiments according to FIGS. 17 through 20, theembodiments according to FIGS. 1 through 16 have the advantage that agreater cannula length is available in the standby position because theprotective element 3 lies directly on the needle holder, whereas, in theembodiments according to FIGS. 17 through 20, a more complicated designof the grip part 6 is provided between protective element 3 and needleholder 1, as a result of which the available cannula length isrestricted. The embodiment according to FIGS. 19 and 20 is also moreadvantageous in terms of the length of the available cannula than theembodiment according to FIGS. 17 and 18 because a more compactarrangement is made possible by the folding of the portions 45, as FIG.19 shows when compared to FIG. 17. Instead of the fold portions in FIG.20, a scissor mechanism between protective element and needle holder canalso be provided in order to accommodate, in a smaller space, elementswith which the protective element can be deployed.

In all the embodiments, the protective element 3 is preferably a needleclip which is made of metal and whose intersecting arms issue fromopposite sides of a proximal wall portion having a hole for the passageof the needle, the hole diameter being smaller than the maximumtransverse dimension of the needle at the pinch 18, so that the needleclip is held in the protection position on the needle tip by means ofthe portion 18 of increased diameter. The intersecting arms extending onboth sides of the needle 2, as FIG. 14 a shows, have, at the distal end,an end portion which is widened to approximately the width of the rearwall and which, in the starting position, lies with elasticpretensioning on the outer circumference of the needle and, on reachingthe needle tip, is moved by spring action into the protection positionin which the two widened end portions engage over the needle tip. Forthis purpose, the distal ends of the arms, as the side views show, areslightly offset with respect to one another in the longitudinaldirection or the arms are of different lengths, so that it is thusensured that the two angled end portions of the arms engage over theneedle tip. At least on the longer arm, the end portion is curved inwardat the free edge in order to ensure that the needle tip is covered evenif an attempt is made to push the needle clip back from the protectionposition on the needle, the inwardly curved end portion hooking onto theneedle tip. The needle clip as a whole can be made very compact and onlyabout 7 mm long.

Referring now to FIG. 21, a semi-schematic side view of an alternativesafety Huber needle assembly 50 is shown comprising a needle holder 52and a middle retaining portion 54 received by the needle holder. Themiddle retaining portion 54 comprises a flange 31, which has a bore forreceiving a Huber needle 2. An optional safety sleeve or Huber guard 56made from a plastic material, such as a polyurethane material, ispositioned over the Huber needle 2 to cover the needle tip 58 of theHuber needle. The Huber guard 56 comprises a central cylindrical section60 and a pair of fins 62 a, 62 b extending from the central cylindricalsection in opposing configuration.

As further discussed below, the Huber needle 2 is attached to a needleholding sleeve 64 of the needle holder 52, which has a lumen in fluidcommunication with the lumen of the Huber needle. In one exemplaryembodiment, a medical grade plastic tubing 65 made from DEHP free PVC isattached at its first end 66 to an outlet end 103 (FIG. 22) of theneedle holding sleeve 64 and at its second end 68 to a female Luer lockadapter 70. A screw cap 72 is threadedly engaged to the female Luer lockadapter 70 to preserve sterility until use. A tubing clamp 74, such asthose offered by Halkey-Roberts of St. Petersburg, Fla., is disposed onthe tubing 65 for isolating or clamping the tubing when desired.

FIG. 22 is a semi-schematic cross-sectional side view of the Huberneedle assembly 50 of FIG. 21 from a reverse angle without the tubing 65for clarity. As shown, the Huber needle 2 is attached to the needleholder 52 by means of a section of the needle proximal of a bent section76 inserted into the inlet end 78 of the needle holding sleeve 64 and,in one embodiment, fixed in place by adhesive or glue. In the Huberneedle ready to use position (FIGS. 21 and 22), at least a portion ofthe middle retaining portion 54 is received in the interior cavity 80 ofthe needle holder 52. In one exemplary embodiment, a tubular extension82 of the middle retaining portion 54 extending from the base or flange31 comprising an exterior surface 84 and an interior surface 86 extendsinto the interior cavity 80 of the needle holder 52. As furtherdiscussed below, the exterior surface 84 of the tubular extension 82engages the surface of the interior cavity 80 of the needle holder 52 tomaintain the two in removable engagement when in the ready to useposition.

The interior surface 86 of the middle retaining portion 54 defines aretaining bore 88 adapted to pass the Huber needle 2 therethrough and toretain the protective element 3 therein. In one exemplary embodiment,this retaining configuration is implemented by incorporating a bump 85comprising a reduced diameter section D_(r) that is nominally smallerthan an inside diameter dimension D_(id) of the retaining bore 88, ateither end or opening of the retaining bore. With reference to FIGS. 22and 23, when the protective element 3 is in the ready to use position(FIGS. 22 and 23, top), the arms 92 a, 92 b (FIG. 23) are biasedradially apart by the curved tips 94 a, 94 b abutting the side of theHuber needle 3. In this position, the dimension D2 measured from oneintersecting joint 96 a to another intersecting joint 96 b is largerthan the same measurement D1 measured when the arms 92 a, 92 b are in arelaxed state (i.e., not abutting the side of the needle) and thefingers 98 a, 98 b overlapped (FIG. 23, bottom). In one exemplaryembodiment, the reduced diameter section D_(r) is larger than D1 but issmaller than D2, which is smaller than D_(id). Expressed mathematically,the diameters have the following relationship: D1<D_(r)<D2<D_(id).Alternatively, D2 can be equal to D_(id) or slightly larger than D_(id)as the fingers 98 a, 98 b are able to flex when positioned inside theretaining bore 88 and slide past the bump 85.

The Huber needle assembly 50 may be placed in the ready to use positionby first positioning the protective clip 3 over the Huber needle 2 andthen sliding the Huber needle through the retaining bore 88 of themiddle retaining portion 54. The Huber needle 2 may include a bulge or acrimp 91 for stopping the forward movement of the protective clip 3 whenthe opening 93 of the clip, which is smaller than the crimp 91, abutsthe crimp. As the tubular extension 82 of the middle retaining portion54 moves into the interior cavity 80 of the needle holder 52, theportions adjacent the interconnecting joints 96 a, 96 b of theprotective clip 3 abuts the reduced diameter section D_(r) of theretaining bore 88. Further downward movement of the needle holder 52relative to the middle retaining portion 54 causes the protective clip 3to flex and the fingers 98 a, 98 b move past the reduced diameterportion D_(r) into the ready to use position. The relative movementstops when the upper end surface 100 of the middle retaining portion 54abuts the interior surface of the interior cavity 80 of the needleholder 52.

FIG. 24 is a semi-schematic perspective view of the needle holder 52without the Huber needle 2. The needle holder 52 comprises a centralneedle base structure 102 having the needle holding member 64 extendingtherefrom with an outlet 103. If the base 104 of the needle holder 52defines a plane, preferably the needle holder member 64 extends at anangle relative to the plane, although not necessary (i.e., parallel tothe plane). In one exemplary embodiment, the needle holder member 64extends at about a 0 to about a 90 degree angle relative to the planewith 45 degrees being more preferred. The angled configurationfacilitates running a tubing along a patient's skin, such as in themanner shown in FIG. 21.

A shroud 106 extends on each side of the central needle base structure102 forming part of an enclosure or housing of the needle holder 52. Inone exemplary embodiment, the shroud 106 comprises a plurality ofgripping members 108 for facilitating gripping the needle holder 52,although a flat or smooth surface may also be incorporated. An optionalpair of fins 110 may be incorporated in the needle holder 52, one finover each shroud 106. A pair of ledges 111 (FIGS. 25 and 26) extend fromthe base of the shrouds 106 and of the fins for added reinforcement,although not required. In one exemplary embodiment, the shrouds 106 canhave an upper surface 112 (FIG. 24) that is generally flushed or evenwith the upper surface 114 of the central needle base structure 102.Accordingly, many alterations may be made to the structure and featuresof the needle holder 52 without deviating from the sprit and scope ofthe present invention.

A gap or channel 116 is provided intermediate the two shrouds 106. Thechannel 116 runs or extends a portion of the top surface of the needleholder 52 and the entire length of the front side opposite the centralneedle base structure 102. For assembling or making the needle holder52, the channel 116 facilitates insertion of the blunt end of the Huberneedle 2 into the inlet end 78 of the needle holding member 64 as thegap defined by the channel provides access into the interior cavity 80of the needle holder 52. Alternatively, the channel 116 can extend aportion of the length of the front side opposite the central needle basestructure 102 and a portion of the top surface of the needle holder 52and still provide for access to the interior cavity 80 for mounting theHuber needle 2.

FIG. 25 is a semi-schematic cross-sectional side view of the needleholder 52 of FIG. 24 taken along a lengthwise direction. The interiorcavity 80 of the needle holder 52 comprises a main interior section 118,a secondary interior section 120, and a secondary slot 122 adjacent themain interior section 118, which forms part of the channel 116. Asfurther discussed below, the main interior section 118 is configured toreceive the tubular extension 82 of the middle retaining portion 54 andeither one of the secondary interior section 120 or secondary slot 122is configured to receive an orientation marker 124 (FIG. 27) toangularly align the middle retaining portion 54 to the needle holder 52.

An inwardly extending protrusion 126 is incorporated on each interiorsurface of each shroud 104. The inwardly extending protrusion 126 maycomprise a single continuous anchor or projection extending along atleast a portion of the interior surface of the shroud 104 at the maininterior section 118 or may alternatively comprise two or moreindividual anchors on the interior surface of each shroud 106. Theinwardly extending protrusion 126 is configured to snap or mate with agroove 128 (FIG. 27) on the tubular extension 82 to removably secure themiddle retaining portion 54 to the interior cavity 80 of the needleholder 52 in a detent-type engagement when in the ready position.

FIG. 26 is a semi-schematic bottom view of the needle holder 52 of FIG.24. In the configuration shown, the main interior section 118 of theinterior cavity 80 is semi-frustoconical in shape, in view of the gaps120, 122, with the interior surface 130 of the main interior section 118having a slight taper that tapers inwardly from about the base 104towards the top 105. However, a straight wall surface without a slighttaper may be incorporated. Side wall portions 132 of the central needlebase structure 102 extend at an angle from the back wall 134 of thecentral needle base structure 102 to create a generally rectangularsecondary interior section 120 of the interior cavity 80. However, thissecondary interior section 120 may incorporate other configurations bychanging the contour or shape of the side wall portions, such as asquare or a curved structure.

FIG. 27 is a semi-schematic cross-sectional side view of the middleretaining portion 54 provided in accordance with aspects of the presentinvention. In the figure shown, the orientation marker 124 is attachedto the tubular extension 82 via a webbing 136, which is similar to a riband, in one embodiment, is integrally molded with the flange 31, theorientation marker 124, and the tubular extension 82. The orientationmarker 124 is configured to fit into the secondary interior section 120of the interior cavity 80 or the secondary slot 122 when the middleretaining portion 54 is removably mated to the needle holder 52. Themiddle retaining portion 54 may be made from polyethylene or similarplastics and may be enhanced with color, such as a light green or otherdesired colors. A plurality of openings (not shown) may be incorporatedin the base 31 of the middle retaining portion 54 to facilitate tapingthe base to the patient. The openings can vary in shapes, sizes, andnumbers and can also be eliminated.

Referring now to FIG. 28 in addition to FIG. 22, the alternative needleassembly 50 may be used by first removing the safety sleeve 56 from theHuber needle 2. The needle 2 is then inserted into a subject until theflange 31 abuts the subject. When the injection is completed, the needle2 may be withdrawn from the subject and the needle tip shielded by theprotective clip 3 by holding onto the flange 31 while concurrentlyretracting the needle 2 proximally or away from the subject. During thisproximal needle motion, the intersecting joints 96 a, 96 b of the needleclip 3 abut the reduced diameter section D_(r) of the main internalsection 118 of the interior cavity 80 of the middle retaining portion 54to permit the needle to move relative to the protective clip 3. Aspreviously discussed, this relative movement is provided due to thelarger clip dimension D2 (FIG. 23) when the curved lips 94 a, 94 b ofthe needle clip 3 abut the side of the needle 2 as compared to thereduced diameter section D_(r) of the interior cavity 80.

When the needle tip moves proximal of the curved lips 94 a, 94 b of theneedle clip 3 so that the needle clip 3 is no longer biased by theneedle (FIGS. 23, bottom, and 28), the resilient arms 92 a, 92 b areunrestrained and flex radially inwardly over the needle tip. This radialmovement causes the measurement of the two intersecting joints 96 a, 96b (FIG. 23) to decrease from D2 to D1 while at the same time allows thefingers 98 a, 98 b to overlap over the needle tip to shield the needletip. As the measurement D1 between the two intersecting joints 96 a, 96b is now smaller than the reduced diameter section D_(r) of the interiorcavity 80, the needle clip 3 is able to slip past the reduced diametersection D_(r) of the bore 88 when the needle 2 is further movedproximally (FIG. 28). The needle clip 3 is now attached to the needle 2and separates from the middle retaining portion 54 (FIG. 28).

FIGS. 29-31 show another alternative needle assembly 140 provided inaccordance with aspects of the present invention in various views andstate of assembly. Referring initially to FIG. 29, the needle assembly140 comprises a needle hub 142, a needle 144 having a protective clip 3positioned thereon attached at its proximal end to the distal end 146 ofthe needle hub 142, a middle retaining portion 148, and a needle cover150. The needle hub 142 comprises a base section 152 having a Luer lock154 and a transition section 156 that connects to a nose section 158having a nose flange 160 positioned thereon. A plurality of spaced apartribs 162 are formed along the exterior surface of the hub, which in oneexemplary embodiment comprises four ribs evenly spaced along theexterior surface although no ribs, fewer ribs, or more ribs may beincluded without deviating from the spirit and scope of the presentinvention.

The nose section 158 further comprises an alignment plate 164, which inone exemplary embodiment is an extension of one of the ribs distal ofthe nose flange 160. The alignment plate 164 cooperates with a notch onthe middle retaining portion 148 to angularly align the middle retainingportion to the needle hub 142, as further discussed below. An end flange166 is incorporated at the distal end 146 of the nose section 158 havinga diameter larger than the diameter of the nose section 158. Preferablythe diameter of the end flange 166 is approximately the same as theinside diameter of the middle retaining portion 148 for size-on-size orfrictional engagement with the inside diameter of the middle retainingportion (FIG. 31). Alternatively, the end flange 166 may be eliminatedand the nose section 158 sized to form a size-on-size or friction fitwith the interior surface of the middle retaining portion 148. Still inanother alternative embodiment, the fit between the middle retainingportion 148 and the end flange 166 or the nose section 158 is a slightloose fit for easy operability of the middle retaining portion from aready to use position to an activated position.

The needle clip 3, which is the same as the needle clip described above(See, e.g., FIG. 23), is positioned on the needle 144. The needle clip 3is configured to move from a proximal position on the needle 144 to adistal position on the needle to block the needle tip, as furtherdiscussed below. In one exemplary embodiment, a crimp or bump 168 isincorporated near the needle tip to stop the distal movement of theneedle clip 3. However, a clip that frictionally engages with the needleshaft in the absence of the crimp or bump may also be used with thepresent needle assembly, as well as other needle assemblies describedelsewhere herein.

The middle retaining portion 148 is configured to retain the needle clip3 at the proximal end of the needle when in a ready to use position(FIGS. 30 and 31) and move the needle clip to a blocking position whenactivated. In one exemplary embodiment, the middle retaining portion 148comprises a rear flange 170, a tubular body 172, which may include agenerally tapering cylinder or other shaped bodies, and a grippingflange 174. In one exemplary embodiment, the gripping flange 172comprises two separate upper and lower projections. However, acontinuous circular flange, a continuous square flange, other shapedflanges, or no flange may be incorporated. The gripping flange 174facilitates gripping by a user in moving the middle retaining portion148 distally to activate the protective clip 3 over the needle tip.

The needle cover 150 comprises a base section 176 and a protectivesection 178. The base section 176 is configured to removably engage withthe nose flange 160 on the needle hub 142 while the protective section178 is configured to shield the needle and needle tip prior to usage ofthe needle. In one exemplary embodiment, the base section 176 comprisesan opened lower section 180 and a pair of grooves or detents on aninside interior surface (not shown) of the base section 176. The pair ofgrooves or detents are configured to latch with the nose flange 160 in adetent-type configuration. In one exemplary embodiment, the needle cover150 is semi-opaque to permit visual inspection of the needle prior touse.

Referring now to FIG. 30 in addition to FIG. 29, in a ready to useposition, the middle retaining portion 148 is telescopically positionedover the nose tip section 182 of the nose section 158. Although the rearflange 170 of the middle retaining portion 148 is shown abut the noseflange 160 of the nose section 158, a slight gap or space is acceptableprovided the positioning of the middle retaining portion 148 over thenose section allows the protective clip 3 to slide over a projection orbump inside the middle retaining portion, as further discussed below.

An indicia 184, such as an arrow or a marker, may be incorporated on themiddle retaining portion 148 for either aesthetic reasons or forconferring instructions to a user to advance the middle retainingportion in the direction indicated, or both. However, the indicia 184may be eliminated as the use of the needle assembly 140 is intuitivewithout the indicia.

FIG. 31 is a cross-sectional side view of the needle assembly of FIG. 30from a different viewing angle. As shown, the middle retaining portion142 comprises a bore 186 having an interior surface that includes bumpor a reduced diameter section D_(r), similar in configuration as themiddle retaining portion 54 of FIGS. 27 and 28. The bump or reduceddiameter section D_(r) of FIG. 31 cooperates with the protective clip 3in the same way as the middle retaining portion 54 and needle clip 3 ofFIGS. 23-28 to provide the same retaining and relative movementfunctions. Also shown is a needle hub bore 185, which is configured toreceive a Luer tip of a syringe (not shown) or other medical implements.

The protective clip 3 may be moved to a ready to use position by pushingthe middle retaining portion 148 over the nose tip section 182 of theneedle hub 142. To ensure that the distal portion of the protective clip3 (See, e.g., the portions comprising the intersecting joints 96 a, 96 bof FIG. 23) slides past the bump or reduced diameter section D_(r) ofthe middle retaining portion 148, the distance between the reduceddiameter section D_(r) and the distal end surface 188 of the nosesection 158 of the needle hub 142 should be less than the distancebetween the proximal end wall 190 of the protective clip 3 and theintersection joints 96 a, 96 b of the protective clip 3 (See, e.g., FIG.23). Once mounted in the position shown (FIG. 31), the protective clip 3moves with the middle retaining portion 148 and relative to the needle 3until the clip is no longer urged by the needle, as further describedbelow and as described above with reference to FIGS. 22 and 28.

A slot or notch 192 is incorporated at the proximal end of the middleretaining portion 142. The notch 192 is configured to receive thealignment plate 164 on the nose section 158 of the needle hub 142 toangularly align the middle retaining portion 148 to the needle hub 142.However, the notch 192 and the alignment plate 164 may be eliminated ifangular alignment between the needle hub 142 and the middle retainingportion 142 is not necessary.

The needle assembly 140 may be used by first mounting the needle hub 142over a syringe or other medical implement and then removing the needlecover 150. A fluid may be aspirated into the syringe via the needle orthe needle may be inserted into a subject if a fluid sample from thesubject is to be taken. Following the injection, the needle 144 isretracted or withdrawn from the subject (either by pulling on thesyringe (not shown) or grabbing the needle hub 142 and pulling on theneedle hub away from the subject) with one hand while holding orgrabbing onto the middle retaining portion 148 with the other hand.

As the needle is retracted, the protective clip 3 is held by the reduceddiameter section D_(r) of the middle retaining portion 148 and movesrelative to the needle 144 until the needle tip moves proximal of thecurved lips 94 a, 94 b (See, FIG. 23, bottom), at which point theprotective clip moves radially inwardly such that the fingers 98 a, 98 boverlap over the needle tip to shield the needle tip. Approximatelysimultaneously therewith, the cross-sectional dimension of theprotective clip 3 at its distal end collapses or reduces in size so thatsaid section of the protective clip is now smaller than the reduceddiameter section D_(r) of the middle retaining portion 148, which thenallows the protective clip 3 to separate from the middle retainingportion. The needle and needle hub may then be disposed of pursuant tostandard protocols.

Although limited embodiments of the syringe assemblies and theircomponents have been specifically described and illustrated herein, manymodifications and variations will be apparent to those skilled in theart. Accordingly, it is to be understood that the syringe assemblies andtheir components constructed according to principles of this inventionmay be embodied other than as specifically described herein. Theinvention is defined in the following claims.

1. A needle assembly comprising: a needle hub; a needle attached to theneedle hub comprising a needle shaft and a needle tip, said needlecomprising a ready to use position in which said needle tip is exposedfor performing an injection and a protective position in which saidneedle tip is covered; a protective clip positioned on the needlecomprising a distal wall movable across the needle shaft at a distal endof the protective clip, a proximal wall, and two arms of dissimilarlengths that intersect one another along the needle shaft when in theready to use position; a grip part moveable relative to the needle huband cooperating with the protective clip; the grip part comprising abody section defining an interior cavity, a proximal opening, and adistal opening, the body section comprising an end extending distally ofthe end edge of the protective clip; and wherein the grip part isconfigured to move the protective clip to the protective position tocover the needle tip and the protective clip is configured to limitdistal movement of the grip part distally off of the needle tip.
 2. Theneedle assembly of claim 1, wherein the two arms each has sections ofdifferent widths.
 3. The needle assembly of claim 2, wherein theprotective clip is made from a metal material.
 4. The needle assembly ofclaim 1, wherein the grip part comprises a proximal wall comprising aproximally facing wall surface, a distally facing wall surface, and anopening.
 5. The needle assembly of claim 1, further comprising a steelsleeve positioned inside the grip part in the ready to use position. 6.The needle assembly of claim 1, wherein the needle tip comprises acurved tip.
 7. The needle assembly of claim 1, further comprising acylindrical sleeve in contact with the protective clip and the needle.8. A needle assembly comprising: a needle hub; a needle attached to theneedle hub comprising a needle shaft and a needle tip; a protective clippositioned on the needle comprising a proximal wall and two arms ofdissimilar lengths that intersect one another along the needle shaftwhen in a ready to use position; a grip part for moving the protectiveclip to a protective position over the needle tip; the grip partcomprising a body section surrounding the protective clip and having anend edge extending distally of the protective clip, a proximal opening,and a distal opening; the grip part being in contact with the needle huband fixed angularly relative to the needle hub in the ready to useposition; and wherein the protective clip is configured to prevent thegrip part from being displaced distally off of the needle when theprotective clip is in the protective position.
 9. The needle assembly ofclaim 8, wherein the protective clip is made from a metal material. 10.The needle assembly of claim 8, wherein the grip part comprises aproximal wall comprising a proximally facing wall surface, a distallyfacing wall surface, and an opening.
 11. The needle assembly of claim 8,wherein the needle tip comprises a curved tip.
 12. The needle assemblyof claim 8, further comprising a cylindrical sleeve in contact with theprotective clip and the needle.
 13. A needle assembly comprising: aneedle hub comprising a gripping portion and a proximal opening; aneedle attached to the needle hub comprising a needle shaft and a needletip; a protective clip of a first material positioned on the needlecomprising a radially extending distal wall movable across the needleshaft, a proximal wall, which comprises a proximally facing wallsurface, a distally facing wall surface, an opening, and two arms ofdissimilar lengths in contact with the needle shaft that cross over oneanother at a location substantially along the needle shaft when in aready to use position; a grip part of a second material for moving theprotective clip to a protective position over the needle tip; the grippart comprising a body section surrounding the protective clip, and aproximal wall, which comprises a proximally facing wall surface, adistally facing wall surface and an opening; and wherein the protectiveclip is configured to stop the grip part from being displaced distallyoff of the needle tip when in the protective position.
 14. The needleassembly of claim 13, wherein the first material is metal and the secondmaterial is plastic.
 15. The needle assembly of claim 13, wherein thetwo arms are configured to block the needle tip when in the protectiveposition.
 16. The needle assembly of claim 13, wherein the needle tipcomprises a bend and the protective clip comprises a sleeve.
 17. Theneedle assembly of claim 13, wherein the grip part is axially moveablerelative to the protective clip after the protective clip moves to theprotective position.
 18. A hypodermic needle assembly comprising: aneedle holder holding a portion of a hypodermic needle on an end spacedapart from a needle tip, a protective element including two arms and awall including a first wall side and a second wall side positioned at anangle to the two arms and having an opening being slidably mounted onthe hypodermic needle; a grip part including an interior surfacedefining an interior cavity and an exterior surface defining a grippingportion, said interior cavity of the grip part including a contactportion adapted to contact a portion of the protective element to movethe protective element along the hypodermic needle; and a generallycylindrical sleeve being disposed, at least in part, between thehypodermic needle and the protective element and having an insidediameter sized to engage an enlarged section of the hypodermic needlenear the needle tip of the hypodermic needle in a protective position todelimit distal movement of the protective element off the needle tip;wherein the protective element and the generally cylindrical sleeve aredisposed within the interior cavity of the grip part and the grip partand the needle holder have portions that overlap when the protectiveelement is in a ready to use position; wherein the grip part isconfigured to be gripped and slide distally, which separates the grippart from the needle holder, which grip part then moves the protectiveelement and the generally cylindrical sleeve to the protective positionwhere said two arms move to protect the needle tip.
 19. The hypodermicneedle assembly as claimed in claim 18, wherein said sleeve contacts thewall of the protective element.
 20. The hypodermic needle assembly asclaimed in claim 19, wherein said sleeve extends distally of the wall ofthe protective element.
 21. The hypodermic needle assembly of claim 18,wherein the enlarged section near the needle tip is covered by saidprotective element.
 22. The hypodermic needle assembly as claimed inclaim 18, wherein said enlarged section near the needle tip comprises abend.
 23. The hypodermic needle assembly as claim in claim 18, whereinsaid grip part is prevented from being displaced off of said needle tipwhen in the protective position.
 24. A hypodermic needle assemblycomprising: a needle holder holding a portion of a hypodermic needle onan end spaced apart from a needle tip; a needle protective elementincluding a wall portion having the hypodermic needle projectingtherethrough and having two resilient arms extending from said wall tospaced apart locations along a shaft of the hypodermic needle and asleeve comprising two end openings, each of said resilient arms havingan angled end portion for covering the needle tip, said angled endportions being offset with respect to one another; said two resilientarms contacting the hypodermic needle and said sleeve being disposed, atleast in part, between the needle protective element and the hypodermicneedle in a ready to use position; a grip part including an interiorsurface defining an interior cavity having said needle protectiveelement and said sleeve disposed, at least in part, therein in the readyto use position and an exterior surface defining a gripping portion; thegrip part and the needle holder having portions that overlap when theprotective element is in the ready to use position; the grip part beingconfigured to be gripped and slide distally, which separates the grippart from the needle holder, which grip part then moves the protectiveelement and the sleeve to a protective position where said two resilientarms move to protect the needle tip; and the sleeve engages an enlargedportion of said hypodermic needle to prevent the needle protectiveelement from being displaced distally off of the needle tip.
 25. Thehypodermic needle assembly as claimed in claim 24, wherein said enlargedportion is a crimp.
 26. The hypodermic needle assembly as claim in claim24, wherein said grip part is prevented from being displaced off of saidneedle tip when in the protective position.
 27. The hypodermic needleassembly as claim in claim 24, wherein at least one of the arms crossesan axis of the hypodermic needle along a shaft of the hypodermic needle.